Wooden Orbital Foreign Body in a Six-year-old Boy – Case Report

Introduction Orbital foreign bodies, particularly of organic origin, continue to pose significant diagnostic and therapeutic challenges. Clinical signs suggesting the presence of an orbital foreign body include decreased vision, pain, restricted ocular motility, proptosis, diplopia, extraocular muscle injury, and orbital tissue inflammation. Case report We present the case of a six-year-old boy who sustained trauma to the left orbital region with a wooden stick two days prior. On admission, visual acuity (Vos) was 0.3, and orbital X-ray showed no abnormalities. A bulbar conjunctival wound with embedded wooden fragments was noted, which were subsequently removed. Due to the lack of local improvement, orbital computed tomography was performed on the fourth day of hospitalization, revealing a foreign body in the left orbit, measuring 3.6 cm, extending through the inferior orbital fissure into the infratemporal fossa. On the same day, with the assistance of a neurosurgeon and a maxillofacial surgeon, the foreign body was completely removed via the conjunctival entry wound, resulting in improvement of both the general and local condition. Postoperatively, intravenous clindamycin and ceftazidime were administered for seven consecutive days. Follow-up examinations in the outpatient ophthalmology clinic at 2, 6, and 12 weeks showed no abnormalities. Conclusions Management of wooden orbital foreign bodies requires a multidisciplinary approach, preceded by thorough history-taking, detailed examination, and appropriate imaging. The treatment of choice is prompt and meticulous removal of the foreign body to prevent infection and its associated complications.